Individual provider Active NPI

James Peter Bonar, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Conroe, TX
National Provider Identifier
1871572123
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
L 0036 Issued in TX
Practice address
500 Medical Center Blvd
Ste 100
Conroe, TX 77304-2800
Phone
(936) 788-8084
Fax
(936) 788-8054
NPI assigned
Jan 14, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X L 0036 TX Primary
Surgery Physician 208600000X L0036 TX

Addresses

Primary practice location

500 Medical Center Blvd
Ste 100
Conroe, TX 77304-2800

Mailing address

5099 Cedar Creek Dr
Houston, TX 77056-2401
Phone (713) 471-8113

Other identifiers 1

IdentifierTypeStateIssuer
183436802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000630 TX Practitioner - General SurgeryPractitioner - Undersea and Hyperbaric Medicine 5799769287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Undersea and Hyperbaric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Medical Ctr Blvd
Suite 100
Conroe, TX 77304-2800
Phone (936) 788-8084

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L 0036TXMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Med Hyperbaric and Wound Care Associates PA Multi-Specialty CurrentSince Nov 5, 2007 Accepting new patients
Tricia Punsalan MD PA Multi-Specialty PastSince Nov 5, 2007 Accepting new patients
Donald C. Frame, MD, PA Multi-Specialty Past Accepting new patients

Locations

500 Medical Center Blvd
Ste 100
Conroe, TX 77304
Phone (936) 718-3831

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871572123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5099 CEDAR CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770562401",
            "telephone_number": "713-471-8113",
            "fax_number": "713-295-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042800",
            "telephone_number": "936-788-8084",
            "fax_number": "936-788-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAR",
        "first_name": "JAMES",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "L 0036",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L0036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183436802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.